Case study:
Patient A.M 36 years old history of psychosis, homlessness and substance use medical diabetise, herpes, trichomons, obesity, and HIV presents on 5150 hold. For grave disability stating ith patient is disorganized and responding the internal to give any meangful history. On intevew with patient remains disorganized and bizarre. She states her mother is " trying to steal her body" when asking if she has thought of hurting self, she states yes. sometiemes has thoughts of internal stimuli . She does admit to methomphetanin use. She has no viable plan for aftercare. IF appears that she most recently prescribed Zyprexa. She agrees to a trial of Abilify.
History- Uncleare, trichomonas
Behavior- uncooporative
Mood- irritable
Vital Sign -B/P 110/70 Pulse 84 RR 18 T 96.9 BMI 32
Please answer these questions, Thank you
1. What other information should you ask A.M. regarding his thoughts of suicide?
2. What characteristics of A.M. put him at high risk for suicide?
3. Which psychiatric disorders can result in suicidal ideations or gestures?
4. What questions would you ask A.M. to determine whether he is clinically depressed?
5. Ill people often have trouble sleeping, experience a change in appetite, reduce their level of activity, and have thoughts of death. How can you tell the difference between old age with illness and depression?
6. List five of the most common signs of depression.
7. Identify two treatments that are available for depression.
8. A.M. was started on an SSRI such as fluoxetine (Prozac). What special instructions should you give him regarding SSR Is?
9. What advantages does ECT hold over the other treatments for depression?
10. ECT is a highly stigmatized treatment; many people are reluctant to consent to initiate treatment. What are the most common untoward effects of ECT?
11. What immediate interventions would you carry out for A.M?